| NPI | 1437323334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J. OLIVER Physician 307-362-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: WY 2629A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2011-02-02 |